Whalio Doctors

NPI 1093116998

Omaha Countryhouse LLC

Organisation Alzheimer Center (Dementia Center) Omaha, NE

Practice location

Address
5030 S 155th St, Omaha, NE 68137-5002
Phone
(402) 964-2060

Authorised official

Name
Stacy L Randels
Title
Vp
Phone
(531) 800-3364

Registered specialties

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 2988 (NE)

Registry record

NPI
1093116998
Entity type
Organization
NPI issued
10 Sep 2014
Record last updated
22 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.